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Individual

JOHN BRIAN LECLERC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
816 W MIDWAY DR, GRAFTON, ND 58237-7501
(701) 352-4545
Mailing address
816 W MIDWAY DR, GRAFTON, ND 58237-7501
(701) 352-4545

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
105770
MN
225X00000X
Occupational Therapist
Primary
1648
ND

Other

Enumeration date
10/04/2018
Last updated
01/12/2023
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